ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 16 : Health Problems of School Age Children and Adolescents Questions
Question 1 of 5
A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?
Correct Answer: C
Rationale: Black widow spider venom is neurotoxic, requiring emergency treatment with antivenin and possibly muscle relaxants. Warm compresses spread the venom, black widows lack stingers, and corticosteroid cream is ineffective against the venom.
Question 2 of 5
A school-age child has been bitten on the leg by a large snake that may be poisonous. During transport to an emergency facility, what should the care include?
Correct Answer: B
Rationale: Immobilizing the leg with a splint minimizes venom spread by reducing movement. Ice reduces blood flow, potentially trapping venom, a tourniquet should be proximal if used, and warm compresses increase circulation, spreading the venom.
Question 3 of 5
Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurses instructions to the parents include?
Correct Answer: B
Rationale: Holding the tooth by the crown prevents damage to the root, which is critical for reimplantation. The tooth should be kept moist in milk or saline, seen by a dentist immediately, and bleeding is expected but not the primary reason for emergency care.
Question 4 of 5
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
Correct Answer: D
Rationale: Emergency contraception like Plan B, if taken within 72 hours, can prevent pregnancy by inhibiting implantation. It?s not too late, abortion isn?t immediately necessary, and pregnancy risk varies but warrants action.
Question 5 of 5
An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?
Correct Answer: B
Rationale: Rape victims exhibit varied responses, including calm behavior, which may mask inner turmoil. This is a normal coping mechanism, not indicative of the event?s validity, maturity, or pre-existing emotional issues.